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1417979113
THOMAS OTTO
SAINT LOUIS, MO
NPI
1417979113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: MO R9866)
Enumeration Date
2006-07-24
Last Update Date
2021-02-24
Business Address
THOMAS OTTO MD
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-977-5350
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Mailing Address
THOMAS OTTO MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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